Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERAD SCOTT WAGNER, PA-C
ActiveJERAD SCOTT WAGNER, PA-C is a Physician Assistant healthcare provider located in ARDMORE, Oklahoma. NPI 1932448347 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ARDMORE, OK
Registration Details
- NPI Number
- 1932448347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2013 (13.543143906538 yrs)
- Last Updated
- Jan 27, 2016
- License
-
2197 (OK)
Practice Information
- Address
-
921 14TH AVE NWARDMORE, OK, 734011837Browse OK providers · Browse ZIP 73401
- Phone
- 5802235311
- Fax
- 5802238227
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ARDMORE, OK
| Name | Credential | NPI |
|---|---|---|
| ROBERT DEAN HANNA | P.A. | 1083601868 |
| MARK ALAN SHEAMAN | PAC | 1417911181 |
| ROLDON SANCHEZ | PA | 1073577748 |
| JERRI BRADSHAW | PA-C | 1609893676 |
| GINA ELIZABETH HERNANDEZ | PA | 1760403943 |
| SHELBY LUCAS | PA-C | 1316956998 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.